ABSTRACT

This chapter seeks to scrutinize the changing nature and roles of the government, non-profit and for-profit sectors in health services in the post-liberalization era. It argues that the boundaries between the three sectors have transformed with commercialization, making it more porous and blurred. Such transformation is facilitated by new mechanisms and trends adopted by international corporations. These include Corporate Social Responsibility programmes and partnerships with a variety of civil society organizations. These sub sectors have complex interrelationship with global actors ranging from global finance, pharmaceutical companies, food and beverage industries, international NGOs, multilateral, bilateral and philanthropic foundations. The paper presents three case vignettes of public-private partnerships led by the foundations of Coca-Cola, Monsanto and Merck to reveal the heterogenous nature of partnerships promoted by corporations under the umbrella of Corporate Social Responsibility. The fourth vignette highlights policy and programme-level implications of complex partnership arrangements across public-private and global-national boundaries in the national AIDS programme.